THEPSYCHEDELICREVIEWTheTreatmentolFrigiditywithLSDCdRitalinhadintercourseasamaritaldutyTwoyearspreviouslyshehadbeenWhenLSDisgivenaloneitfrequentlyaccentuatesanxietysothatitianowcombinedwithintraven ID: 92664
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TheTreatmento[FrigiditywithLSD_RitalinTheTreatmentofFrigiditypsychosomaticdisorder....Amultitudeofsymptomsmayunfoldthemselves,includingneurasthenia,insomnia,lossofweight,andwtth-LSDandRitalinvaginalpainofss4dedlstribution,infactastateofchronicillheahh.Asfewwomenwillvolunteerinformationontheirsexualinadequacies,itshouldbetheaimofthegynaecologisttoascertainwhethersuchastateofaffairsexistsandifpossible,correctit.THOMASH.UNGJudgingbytheaboveextractsfromstanda THEPSYCHEDELICREVIEWTheTreatmentolFrigiditywithLSDCdRitalinhadintercourseasamaritalduty.Twoyearspreviously,shehadbeenWhenLSDisgivenalone,itfrequentlyaccentuatesanxietysothatitianowcombinedwithintravenousRitalin(methylphenidate).toldbyaconsultantgynaecologistthatshewasphysicallynormal.HeThelatterisaC.N.S.stimulantandactsparticularlyontheposteriorwasverysympatheticandsuggestedthatsheshouldlearntoaccepthypothalamus.Thiscombinationenablesthepatienttorecallforgottenherdisability.Shewassubsequentlyseenonanumberofoccasionsmaterialwithlessfear.byapsychiatristwithoutimprovement.ThepatientdevelopsthecapacityofwatchingandunderstandingThefollowingiaasummaryofherexperiencesunderLSDandherownunconsciousandtherecoveredchildhoodmemoriesandRitalin:fantasies.OftenoneofthemostgratifyingresultsoftreatmentistheFirstSession.50t_g(micrograms)LSDintramuscularlyand20mgprogressivematuritythatcomesfromself-understanding,andoneis(milligrams)and10mgRitalinintravenously.remindedoftheinscriptionovertheDelphictemple:"Knowthyself."Myexperiencesweredividedintofourphases.IfeltphysicalmiserySessionsaregiveneverytwoweeks.Patientsareseenregularlyanddepression,ThenIfeltfrightened.Halfofmyminddesperatelyduringtreatment,andavaryingamountofpsychotherapyisgivenwantedtorememberwhathadhappened,andhalfwouldnotallowit.AfterthenextinjectionofRitalin,Ipicturedmyfatherasayounginallcases,manwhorejectedme.Ifeltdisappointed,bitterandresentful.IcouldTheselectionofpatientsiaimportant.Goodintelligence,arealnotunderstandwhyhedidnotloveme.ThenIseemedtotravelback-desiretobecured,absenceofpsychosisandbeingunderfiftyyearsofwardsintimetoapointwhereIhadidolizedhimandfeltpossessive.ageareprerequisites.Myconsciousmindpromptedmethatsexcameintothisand,attheThetreatmentiamoreeffectivewitheducatedpatients,astheirsametime,Iknewitwasbecausehewasamanthatthislovewassoactivecooperationandappreciationofinterrelatedexperiencesareimportant,butadultsexualitywasnotinvolved.FollowingthelastinjectionofRitalin,Ifeltawonderfulout-essential,pouringofloveandazestforlifewhichIhadneverfeltbefore.Sandison(1962),Bierer(1960),Martin(1957),Eisner&OohenIfeltthatnothingwouldeverfrightenorhurtmeagain.Ithought(1958),Robinsonetal.(1963),andtheauthorsofthisarticle(1964)"Soyou.hadababyloveaffairwithyourfatherandyoudon'thaveamongothershavedescribedtheclinicaluseofLSDinawidevarietytohideyourselfawaybecauseherejectedyou."Themostimportantofneuroticandpsychosomaticconditions.Manyofthesecasesincludethingwastoloveandlivelifetothefull,andtheleastimportantwastobeafraidofanything.!feltthatsexcamesomewherehalfwayandsexualdifficultiesamongtheirmultipledifficulties,whilethisarticlewasahealthywayofshowingthatyoulovedsomeoneandwerehappydetailsthetreatmentoffrigidityoccurringasthepatient'sonlyprob---likelaughing.InthismoodIfeltthatmyeroticresponseswouldbelem.Therewere1,122referencesintheworldliteratureasofJanuaryentirelydifferentfromthoseIhadpreviouslyexperienced,whichwere1064,andthisisthefirstcontributiontoitsuseinthetreatmentofunsatisfyingandguilt-ridden.IfeltthatinsexualintercourseIhad,unconsciously,beenseekingifrigidity.*thatpinnacleoflovethatIhadfeltformyfatherandthat,nothavingDetailsoffCasefoundit,Iwasleftwithafeelingofdisgust.,Iknowthatmyfatheristotallyincapableofshowingaffection.IAmarriedwomanofthirty-threeandthemotheroftwoyounghaveneverseenhimshowaffectiontoanyone,notevenmychildren.'childrencomplainedoflackofanysexualdesiresincemarriage.ShePerhapsmyrejectioncamewhenIfeltthathedidnotshowme,,,aywasfondofherhusband,andtheirrelationshipduringthedaytimewasloveatall.harmonious.Thehusbandwasfullypotent,successfulinhispro-Threeweekslatershereportedprogressasfollows:fession,inlovewithhiswife,andtheyweregoodparents.Sincegirlhood,thepatienthadbeenfrightenedofsexandlaterThemostobviouschangeinmyfeelingsisinmyreactiontosex.Inowfeelverydifferentlyaboutit,withvaryingenjoyment.Ican[*AnextendedpopularaccountofpsychoanalytictreatmentoffrigiditywithnowenjoycertainintimacieswhichpreviouslyIhadindulgedinwithLSDisseeninC.A.Newland,MyStiffandI0962),reviewedinourpreviousshame,andwhichafterwardsIhadpreferrednottothinkabout.issue.--Ed.]TheothermarkedchangeinmyfeelingsisthethoughtthatImight452453 THEPSYCHEDELICREVIEWTheTreatmento!FrigiditywithLSD&Ritalinbecomepregnant.Ihavealwaysfeltthattohaveanotherbabywouldfeltatthetime,makesmeappreciatewhatadevastingexperienceitbedisastrous,butsincethelasttreatmentallthepracticalreasonshavewas,combinedwithmytremendousanduselesscompetitionwithmybeensweptasidebyapurelyemotionaldesiretohaveasmallbabytomother.Ifeelenormouslyreleased.careforagain.Itwasdecidedtorestthepatientafterthissession,andsixweeksSecondSession.75/agLSD,20mgRitalinand10mgRitalm.laterbothpartnerswereseenagain.ThehusbandreportedthattheAfterashorttime,IfeltthatIwasatinybaby,sucklingatthepatientwasamuchhappierperson,acalmermother,andwasnowbreast,andIfeltthesecurefeelingsthatitgaveme.Ialsoremem-sexuallyresponsiveonapproximatelyeveryotheroccasion.Thepatientberedbeingheldandcuddledbysomeone,saidshefeltmuchmoreatpeacewithherselfbutstillhadconsiderableIwouldnotletmyselfenjoythesememoriesforanylengthoftime,fearofherownsexuality.Shefeltshehadnotcompletedtreatment.asmymindkepttellingmethatitwasnottheexperiencingoftheseinfantilepleasuresthatwouldcureme,butthatImustfindoutwhatFourthSession.75/agLSD,20rog,20mg,andl0ragRitalin.itwasthatwazsocrushing,thathadcastitsshadowovermyper-AtfirstIhadtheusualturmoilofunpleasantemotions,fear,guiltsonalityallmylife.andadesiretorunawayandhide.AfterthelastinjectionofRitalin,IhadafeelingoffrustrationLater,whenIhadcalmeddown,Ihadamemoryoftremendousandofbeingkeptaprisoner.Idesperatelysoughtreleasefromthissexualexcitement.IfeltthatIwasaboutsixandthatsomebodyhadtension,andIhadthesensationofbeingphysicallyhelddownandofbeen"playing"withmesexually.Ialsoseemedtobenearwater,somethingontopofme.Ifeltthatthiswasanimportantexperience,perhapsariver.andthefailuretorecallitfullyleftmedepressed.Laterthememoryofthisexperiencefadedandafterthelastin-Afewdayslater,thepatientreportedprogress:jeetionofRitalin,Ihadafeelingofdisgust,followedbyadream-likeIfeelmuchmoreateaseoversex,butthisisnotyetright.AlsoIsequenceoflavatories,drainsandrushingwater.havegotovermyfearofspiders.AnotherchangeisthatIamnolongerafraidofbeingalonewhenmyhusbandhastobeawayfortheThreedayslater,thepatientsaidshefeltverytense,thathernight.IfeelmuchmoretoleranttowardsthechildrenandIfeelmoreexperienceoftheassaultwasincompleteandpleadedforanotherconfidentindealingwiththem.Myhusbandhasnoticedotherchangessessionassoonaspossible.ShefeltfairlycertainthatitwasherunclewhichIhavenot,andsaysthatIammucheasiertolivewith.whohadassaultedher.Shehadalwaysknownthat,asachild,sheThirdSession.75/agLSD,20rog,10rog,and10mgRitalin.usedtostaywithheruncleandauntwholivedontheThames.IfeltIwantedtoremembermyfirstawarenessofsexualityandHersummaryofthesessionfourdayslaterwasasfollows:whathappened.ThensuddenlyIremembered.Iwasatinybabyaboutsixmonthsold,lyingonmybackwithmylegsintheair,withnoFi[thSession.80/agLSD,30rog,20rog,andI0mgRitalin.clothesonandmyfatherwaslookingatme.IwasawarethathewasIhaveputoffwritingthisreportbecauseIamveryreluctanttomaleandIwasfemale.HewaslookingatmyprivatepartsandIputdownonpapertheincidentwhichIhaveremembered,andamsoexpectedhimtoreactinanapprovingway,buthedidnot.Icannotashamedof.rememberexactlywhathisreactionwas.ItwaseitherindifferenceorIremembermostlytheemotionswhichwentwiththisincident.Idisgust,butitwasnotwhatIexpectedandwasashatteringblowtorememberthefeelingofsexualexcitement,ofknowingwhatwasmyself-esteem.Ifeltthatherewastheveryessenceofmyfemaleness,happeningandthefeelingsofdisgustafterwards,butIcannotremem-andtheonemaleImostwantedtoshowapproval,didnotdoso.Ihertheactualphysicalcontact.Afterthelastinjection,Icouldremem-seenowthatthisinfantilerejectionwasthereasonwhyIfelthavingherbeinghelddownandtheuncontrolledlustfullookonmyuncle'sasurgicalinductionwithmyfirstbabysuchaghastlyexperience.Itfaceabsolutelyvividly.Itwasasthoughithadhappenedyesterday.wasmuchmorethanjustembarrassmentthatlfelt.IthinkwewereonthebankofariverundertreesandIhadaIfeltthatasababyItriedmorethanoncetogainmyfather'sfeelingweweredisturbed,butitwasnotclear.Ialsothinkthatmy'approvalandfailed.IfeltthatforsometimeIwascompetingwithmyunclemayhavegotmeinthisstateofexcitementmorethanoncemotherformyfatherbutinthcendshewon.becauseIseemtoremembertwoseparateoccasions,oncewhenIwasLookingatthesessionafterwards,itseemshardlycrediblethatthissittingonsomethinghighupandoncewhenIwaslyingdown.incidentcouldpossiblyhavehadsuchashatteringandlastingeffectIhavestillonlyexperiencedpartialreleasefrommytensionanduponme.BeingabletolivethroughtheexperienceandfeelthewayIsexualdifficulties,andstillfeelrathershockedanddepressed.454455 THEPSYCHEDELICREVIEWTheTreatmento!FrigiditywithLSD_RitalinAtthenextinterview,shestatedwithembarrassmentthatsheandguiltthatIhad,andamabletoenjoyina*'downtoearth"andhadrememberedundertreatmentthatherunclehadperformedhealthyway.IngeneralIfeelmoreconfidentandmature.Iamnowpreparedcunnilingusonher,aperversionofwhichshewastotallyunawarepriortogomorethanhalfwaytomakefriendswithpeople.Iammuchtothesession.Sheagreedthatthewholeepisodeneededclarificationhappieraboutexpressingmyviews.withanothersessionbutwasmuchlesspressingthanformerly,regard-IknowmyhusbandfindsmemuchbettercompanyandIhavealngimmediatetreatment.ShefelttheendoftreatmentwasnotfarmuchmorepositiveapproachtohimandlifeingeneralsandIhaveoffnow.muchmorepatiencewiththechildren.IhavescarcelygivenathoughttotheincidentwithmyuncleandShestatedthatshehadalwaysknownthattherehadbeenawhenIhave,Ifeltcompletelydetachedandunemotionalaboutit.violentquarrelbetweenherfatherandheruncleaboutthistime,andDuringtheinterview,ittranspiredthatshehadhadafullandthatshewasneverallowedtostayinheruncle'shouseagain,completelysatisfyingvaginalorgasmoneveryoccasionexceptonce,Afurthersessionwasarrangedintwoweeks'time,ofwhichthewhenshefeltparticularlytired.Shelookedmuchhappierandwasfollowingishersummary:nowclearlyatpeacewithherselfandhersurroundings.SixthSession.80FgLSD,30mg,20mg,and10mgRitalin.FurthertreatmentwasconsideredunnecessarybypsychiatristandUnderthedrugIhadthefeeling'thatIwassearchingforanideal,patient.e.g.,thefirsttimeIwassexuallyaroused,andthemanwhodiditwasasortofgodtome.Thenthingsbecameblurred,butafterthesecondConclusioninjectionofRitalinIrememberedwithcompleteclaritythatIhadAcaseofcompletefrigiditywithoutotherneuroticfeaturesisenjoyedmyuncleplayingwithmyprivates.TheenjoymentwasreportedwhichhasbeenfullyrelievedaftersixsessionsofLSD.broughttoanabruptendwhenhetriedtorapeme.IrememberThepatientre-experiencedsexualexcitement,rejectionandguiltfeelingablowintheareaofmyvaginaandafeelingofforce,buthecouldnotreallyenterme.Therethememoryends.Icannotassociatedwithherincestuousfeelingsandpossibleassault.Sheim-rememberwhattheoutcomeofitallwas.provedasaresultofunderstandingthat,earlyinherlife,sexbecameIhavefeltmuchmoretranquilafterthislastsessionthanIdidassociatedwithfear,violenceandparentaldisapproval.afterthetwovariousones,andthephysicaleffectshavenotbeensoHerhusbandreportsthatthepatientisamuchhappierandmoresevereastheywerethetimebefore,relaxedperson,andthattheirsexuallifehasbeenrevolutionizedsoSixweekslaterthepatientwasseenagainandreportedasfollows:thatthemarriageisnowoutstandinglyhappy.Afterthelasttreatment,IhadmyfirstintercoursewithfullorgasmApartfromthiscase,theuseofLSDandRitaUn,withappropriateinternally,whichwasacompletelynewandwonderfulexperience,psychotherapy,hasclearedupfrigidityoccurringaspartofapsy-MysexuallifeisnowcompletelydifferentandIgetawonderfulchopathologyinsixteenotherselectedcases.Itappearsmoreinforma-feelingoutofitonmostoccasiom.Themarriageisnowverymuchtiretoreportthisonecaseindetailthantopresentasummaryofallbetter,butIbelievethereilstillroomforimprovementandformetheothercases.tofeelcompleteecstasyoneveryoccasion.Asshewasimprovingsteadily,itwasagreedtoleavefurtherSummarytreatmentinabeyance.Somepatientsmaycontinuetoimproveand1.Truefrigidityisacommonproblemingynaecology.gaininsightforweeksandoccasionallymonths.2.ThespecialitiesofgynaecologyandpsychiatryoverlapinmanySixmonthslater,thepatientreportedasfollows:syndromes.PsychologicalfactorsaresolelyresponsiblefortrueHerearemylatestviewsonmyprogress.Myleeringstowardsfrigidity,whichisaneuroticillness.sexualintercoursehaveundergonethegreatestchange.Icansay3.Other"symptomequivalents"oftenmaskthis"organneurosis"withnoreservatiomwhatsoeverthatIhaveloatallmyinhibitiomsinceinthegreatmajorityofpatients,thereissomepsychologicalregardingsex.Iamcompletelyfreeofallthefeelingsofdistastecausefortheirphysiologicallyexpresseddisturbances.456457 THEPSYCHEDELICREVIEW4-.ThesecasesarenotoriouslyhardtotreatbythetraditionalShoutedFromtheHousetops'methodsofgynaecologyorpsychiatry,sincethecausesareun-·consciousanddeeplyrepressed.AA/Igood.up,norreyote^wakeningpersonalityandacooperativepotentspouse,psychotherapywithLSDcanhelpthesecasesbytherecoveryofearlysexualfantasies]OYCEJAMESortraumaticexperiencesreapo_bleforthesymptomformation.6.Sixteencaseshavebeentreatedsuccessfullyinthisway,andBackatlheHouse;threeofus,withoneother_Marolyn,athefactsofonesuchcasearegivenindetail,friend.ItwastheweekendofEaster,andtheearlyeveningofCmod7.WewouldliketoexpressourthankstotheElmgrantTrustforFriday.ItwasalsojustoneyearagothatwehadcommencedthetheirsupportandtoDr.J.Biererforhiscooperationandhelp.deepermeditationofYogananda'sinitiationintoKriyaYoga.theRitalin.AsMontyhadrecommended,wehadeatenlightly,nothingmore8.WewouldliketothankClibaLaboratoriesforkindlysupplyingthananapple.Fromthejarofliquidhepoureduseachathumbfull.'C,omideringalltheclaimsthatweremadeforittheamountseemedscantenough,butholdingthatbrown-green,soupymudwhereonceREFERENCESonecouldsmellit,one'snoseofitselfwouldrearnostrilsaback,withBierer,J.(1960).Proc.Roy.Soc.Mad.,Vol.53,No.11(Nov.1960),p.95.refusal.Ohbutitwasbitter!Unbelievablyalientothehumantaste.Curth,A.H.,andHuftman,J.W.(1950)..4TextBooko!Gyrnatcology.One'swholebodywasaffronted.WethoughtthatperhapsifmixedPhila.W.B.Saunders.Rimer,B.G.,andCohen,S.(1958)."Psychotherapywith!ysergicaciddiethl-withhoneyandslowlyrolledonthetongue,atleastweshouldbeable!amide."].N_ro.MtntalDisttua,Vol.127,No.6(Dec.1958),pp.528-toswallowit.Nosenseofanticipationremained,therewasnoprelude539.toawe,buttheactofsippingthatbrewwasatotalexperienceinitselfHamilton,E.G.(1961)."Frigidityinthefemale."MissouriMed.,Vol.58(Oct.1961),pp.10.;0-51.--thcreluctantgagging.Ling,T.M.andBuckman,J.(1963).LysergicAcid(LSD25)_Ritalininthe"Suremustneedsomethingprettybadlytoendurethis"ITreatmento[Neurosis.London:LambardePress..(DistributedinU.S.'''',/byMedicalExaminationPub.Go.,Inc.,Flushing65,N.Y.)thought.Slowly,andverysurely,weextractedfromoursensestheMartin,A.J.(1957)."LSDtreatmentofchronicpsychoneuroticpatientsundercondensedsavorofallthebitternessthereisinlife,slowdistilledtoday-hospitalconditions."Intern.].Soc.Psychiat.,VoL3,pp.188-195.almostunassimilatableleesoftaste.Andthehoney,withitspolarityMacleod,D.H.andRead,C.D.09§§).Gynaecoiogy.London:J.&A.Churchill,p.723.ofsweetnessmerelyseemedextensionoftheslowdrippoLsondregofO'Neill,D.(1954).RecentDevtlopn_ntsinPsychosomaticMedicine.London:bitter.Pitman&SonLtd.,p.212.Downatlast.Iwasdisappointed_phooey,thereseemednothingRobinson,J.,etal.0963)."Acontrolledtrialofabreactionwith!ysergicacid."Brit.I.Psychiat.,Vol.109,No.458,(Jan.1963),pp.46-53.tothisstuff.Imighthaveknownitwouldn'tworkonme.IfeltnoSandison,R.A.0962)."Theroleofthep_/cholyficagentsinthetherapeuticchange.Idonotknowmyexpectation,somethinglikechampagneprocess."Bull.Brit.PsycboLSoc.(abstr.),No.46,Jan.1962.perhaps_adeepersensingofbeauty,anintensifyingofcolor,andYoung,G.J.(1958).ATtxtBooko[Gynae¢ology.London:Adam&CharlesBlack.significanceinform_lessthatdullingofperceptionthatdrunkennesscanbring.Ohignorant.Naive.Bodiesstill,andwaiting;aftersometimeDonclaimedsomenewsensationatthebaseofhisskull.Itseemedlikeidleconversation,forImyseffwasnotawareofanychange,exceptIdidnotfeelsopleasantorindifferentasIhad,andalightremarkfromMarolyn,withherusualmockinghumordrewfrommeoverweighted,snapped458459)